MEDICARE: DR. JAIME LEA MOLDOVAN FRIEDMAN PSY.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	103T00000X	Psychologist	PS017395	PA

General Provider Information

NPI Number	:	1902350796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAIME LEA MOLDOVAN FRIEDMAN PSY.D.

Provider Business Mailing Address
First Line	:	1840 COUNTY LINE RD
Second Line	:	SUITE 212
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-1717
Country	:	US
Telephone Number	:	267-388-0670
Fax Number	:

Provider Business Practice Location Address
First Line	:	1840 COUNTY LINE RD
Second Line	:	SUITE 212
City	:	HUNTINGDON VALLEY
State	:	PA
Zip	:	19006-1717
Country	:	US
Telephone Number	:	267-388-0670
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/09/2016
Last Update Date	:	08/05/2024

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